title: Percutaneous retropleural drainage of a posttraumatic pancreatic mediastinal pseudocyst in a child.
abstract: Pancreatic mediastinal pseudocyst is a rare complication of pancreatitis in children. These children usually present with abdominal pain, anorexia, vomiting, and dysphagia. Computed tomography not only is essential in defining the extent of the pseudocyst but also can guide percutaneous external drainage. We present the case of a 4-year-old child with a mediastinal pseudocyst secondary to pancreatic trauma, which was successfully treated with computed tomography-guided percutaneous drainage via a posterior, extrapleural approach.
authors.affiliation: Division of Pediatric Surgery, DeWitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, Miami, FL 33136, USA.
authors.forename: Zaher
authors.initials: Z
authors.lastname: Nuwayhid
authors.forename: Noor
authors.initials: N
authors.lastname: Kassira
authors.forename: Holly L
authors.initials: HL
authors.lastname: Neville
authors.forename: Javier
authors.initials: J
authors.lastname: Casillas
authors.forename: Juan E
authors.initials: JE
authors.lastname: Sola
mesh_terms: D057785:Catheters; D002675:Child, Preschool; D006801:Humans; D007813:Laparotomy; D008297:Male; D008477:Mediastinal Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D010179:Pancreas / Q000293:injuries*; D010180:Pancreatectomy; D010192:Pancreatic Pseudocyst / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D010195:Pancreatitis / Q000209:etiology; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D015641:Radiography, Interventional; D012008:Recurrence; D013156:Splenectomy; D013396:Suction / Q000379:methods*; D025321:Surgery, Computer-Assisted; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000601:surgery*